Vallespin J, Meola M, Ibeas J, et al.
The journal of vascular access. Date of publication 2021 Nov 1;volume 22(1_suppl):9-17.
1. J Vasc Access. 2021 Nov;22(1_suppl):9-17. doi: 10.1177/11297298211046827. Epub
2021 Sep 27.
Upper limb anatomy and preoperative mapping.
Vallespin J(1), Meola M(2), Ibeas J(3).
Author information:
(1)Department of Vascular Surgery, Parc Taulí University Hospital, Parc Taulí
Research and Innovation Institute (I3PT), Autonomous University of Barcelona,
Barcelona, Spain.
(2)Department of Internal Medicine, Sant'Anna of Advanced Studies - Life
Sciences Institute, University of Pisa, Pisa, Italy.
(3)Department of Nephrology, Parc Taulí University Hospital, Parc Taulí Research
and Innovation Institute (I3PT), Autonomous University of Barcelona, Barcelona,
Spain.
Vascular access is absolutely essential for haemodialysis due to its
relationship with quality of dialysis and associated morbidity. Therefore, it
must be monitored and continuously surveilled from the moment it is created to
prevent failure in maturation and thrombosis. Multidisciplinary collaboration is
necessary when the main aim is to achieve the adequate vascular access flow with
the fewest possible complications. The starting point, and probably the main
one, is vascular access planning. This planning requires both a deep
understanding of the anatomy of the upper limb and enough skill to examine it by
Doppler ultrasound. The aim of this article is to review the anatomical and
haemodynamical concepts of the arterial and venous vascular tree and explain how
to perform ultrasound mapping, optimising the technical resources provided by
this tool. Likewise, adequate access creation criteria that minimise the risk of
failure and associated complications will be discussed.
DOI: 10.1177/11297298211046827
PMCID: PMC8606620
PMID: 34569330 [Indexed for MEDLINE]
Conflict of interest statement: Declaration of conflicting interests: The
author(s) declared no potential conflicts of interest with respect to the
research, authorship, and/or publication of this article.
